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Deactivated NPI 1689176315 Deactivated / Inactive NPI Male Practitioner

Michael Rosscup , LDO

Technician/Technologist - Optician • Vails Gate, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Rosscup has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 08, 2018
NPI Deactivation Date May 03, 2023
Total Practice Duration ~5 Years of Practice (2018 – 2023)

Professional Overview & Biography Verified Profile Summary

Michael Rosscup, LDO was a registered Technician/Technologist - Optician practicing in Vails Gate, NY. Throughout an active medical career spanning 5 years, Michael Rosscup provided care at the practice location at 384 WINDSOR HWY (INSIDE SHOPE RITE) until profile deactivation on 2023-05-03.

Practice Location & Contact Primary Location

Practice Address

384 Windsor Hwy (Inside Shope Rite)

Vails Gate, NY 125840006

Telephone 8455616305
Fax 8455616839
Associated Practice Facility / Clinic
🏢 Jules Optical Co, Ltd Facility NPI 1396897146

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist - Optician in Vails Gate, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Vails Gate, NY (1200 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Technician/Technologist - Optician Primary Specialty

NUCC Taxonomy Code: 156FX1800X

State License NY 07869

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1467767475

Doctor of Optometry

NPI 1912087412

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 03, 2023

Record deactivated on May 03, 2023

NPI Profile Active March 08, 2018

NPI status registered as active in NPPES database

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Updated Practice Location March 08, 2018

Registered at 384 WINDSOR HWY (INSIDE SHOPE RITE), VAILS GATE, NY 125840006 (Tel: 8455616305)

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Updated Business Mailing Address March 08, 2018

Registered at PO BOX 6, VAILS GATE, NY 125840006 (Tel: 8455616305)

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Provider Name / Credentials Updated March 08, 2018

Recorded as MICHAEL ROSSCUP, LDO

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2018

Technician/Technologist (License #07869 in NY)

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Initial NPI Registration & Enumeration March 08, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689176315
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2018
Last Update: March 08, 2018
Deactivation Date: May 03, 2023

Mailing Address

Po Box 6

Vails Gate, NY 125840006

Phone: 8455616305

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.